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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
November, 2001, Vol. 01, Issue 11
By Cliff Korn, BS, LMT, NCTMB
Did you look forward to going to work today? Were you attentive as you made up your table for your first client? Were you genuinely pleased to see that client come through the door? How about at the end of the day - were you just as pleased to see your last client of the day enter your place of business?
My guess is that if you're in your first year of practice, you answered, "yes" to all of these questions.If you're in your fifth year, it is probably less likely that your "yes" was quite as enthusiastic. If you've been practicing 10, 15 or 20 or more years, you might have to pause and think before answering. The premise I am using in all my following observations is that maintaining excitement and freshness in our practice is in our own best interest and the best interest of our clients.
Certainly a number of factors influence your specific responses to these questions. One factor is the body mechanics of the practitioner. I doubt you would look forward to caring for one more client if your own body was in pain from poor body mechanics. Another factor might be client load. More clients per day than your stamina can allow tends to lessen your ability to appropriately focus on additional clients. Likewise, too few clients may mean too much time on your hands, causing boredom.
I'm writing about the topic of excitement because I have observed a subtle change in the massage therapists I have encountered in the past month. The one thing that has changed seems to be the higher stress level of the typical client, the result no doubt of current world situations. In the week following September 11th, I noticed that massage therapists fell into two major groupings. The first had to force themselves to go to work. They preferred to stay in the apparent security of their homes, and they didn't want to see their clients or hear their clients' "petty" complaints of neck/back/shoulder discomfort when people were desperately wandering New York City with pictures of lost family members. The second group couldn't wait to get to work. They looked forward to spending time in an environment where they knew they could effectively participate in something. I'm not making value judgments about either group, as each was just responding to their own coping mechanisms and skills. Certainly if either of the coping methods were to continue, it would be problematic. The first group's practices would quickly dwindle because of lack of interest. The second group's practices also would likely diminish, because the therapeutic relationship would change to benefit the therapist instead of the client. As you know, clients don't like that much!
The higher client stress levels seem to have encouraged the therapists I know to reinvigorate themselves to help others cope. Hopefully this will reignite the fire of excitement these therapists have for their practices.
If the premise is that maintaining excitement and freshness in our practice is in the best interests of both our clients and ourselves, it behooves us to consider more of the things that aid that process. With job excitement, you believe that your work will be satisfying in the long run; you care about the quality of your work; and you are more committed to the therapist/client relationship and the profession as a whole.
An internet web search brings up much (and frequently conflicting) information on job excitement and satisfaction. However, there are many constants in this information that are directly attributable to a career in massage therapy. The "essence" of job satisfaction is to:
I certainly get all of these in my clinical practice! I can't imagine a massage setting that doesn't allow for all three of these items to occur regularly. Job satisfaction is not synonymous with complacency, but with enthusiasm! With enthusiasm, you can tackle each Monday morning with drive and ambition. Enthusiasm also minimizes the negatives that are always present in varying degrees. With enthusiasm, even negatives can be turned into opportunities for satisfaction. As an emotion, negative is stronger than positive: dissatisfaction seems to be more motivating than satisfaction. In our practices, this is manifested by our clients' reacting more visibly and immediately (e.g., booking appointments) to pain and/or dysfunction than to a pleasant stimulus.
Another "truism" of job satisfaction is that most workers like their work more if there is little minute-by-minute supervision of tasks. Massage therapy, in a treatment room environment, provides the practitioner such autonomy.
Our work has frequently been termed "intuitive." To a large extent, I think the better therapists among us have honed their intuitive skills to a high degree. However, I think that much of our job satisfaction is related to education. Education gives us the confidence to proceed to our full capacities, and enables us to expand our abilities. It makes it possible to become even more excited about our work. I don't know about you, but the more I learn, the more intuitive I become!
Some textbook-like issues that are particularly applicable to our profession infer that job excitement benefits from:
Right now, America needs us to be at the top of our game. It needs us to be looking forward to Monday morning. The tensions and stresses inherent in war, threats of war, invisible enemies and the unknown, make our unique skills more important now than they have ever been in the past. The strides that the industry had made in the past decades to educate consumers is now paying off as worried individuals seek out our services and abilities.
I'd love to hear how you keep your excitement level up. Please share your thoughts with others in our "We Get Letters & Email" section. And I hope every one of us can honestly answer "yes" to each of my opening paragraph questions!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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